Fecal incontinence care at Mayo Clinic
Advanced diagnosis and treatment
Mayo Clinic researchers have developed specialized diagnostic tools for characterizing individual cases of fecal incontinence. They continue active research this area. Examples include:
- Magnetic resonance proctography, a type of magnetic resonance imaging (MRI) that shows pelvic floor motion in real time. This is now a standard clinical test at Mayo Clinic.
- Portable anorectal manometer, a simple, inexpensive device that measures pressures in the rectum and anal canal.
- Anal electromyography (EMG), a test that identifies anal sphincter nerve injury in women with fecal incontinence. Anal EMG offers greater accuracy than other tests for this cause of fecal incontinence.
Mayo Clinic also offers a full range of treatments, including a pelvic floor retraining program, where you learn how to strengthen pelvic floor muscles, sense when stool is ready to be evacuated and contract the muscles if evacuation is inconvenient.
The Evacuation Disorders/Bowel and Bladder Program is a unique outpatient program not offered elsewhere in the United States. Specially trained nurses work multiple times a day over a two-week period with people who have fecal incontinence or another evacuation disorder.
Many people who enter the program have had unsuccessful treatment at other facilities, but find success here. The program combines biofeedback and behavioral modification, providing individuals with the skills and education necessary to complete a successful follow-up program at home.
- The Gastrointestinal Motility Clinic is the first center nationwide to use high-resolution anorectal manometry for patients and to develop a system for classifying patients with defecatory disorders, including fecal incontinence.
Sacral nerve stimulation (SNS) is already approved by the FDA to treat fecal incontinence, but researchers at Mayo Clinic continue to study and refine the treatment. SNS involves implanting a neurostimulator in the pelvis that transmits mild electrical impulses, which researchers believe improves sensation.
Some doctors believe that other treatments should be tried first. However, others suggest that because it is easy to implant, it could be an initial surgical approach.
Access to the latest research
As a Mayo Clinic patient, you may have access to clinical trials for fecal incontinence. Beginning in November 2018, Mayo Clinic will be one of four sites in the United States participating in a clinical trial comparing pelvic floor biofeedback therapy, sacral nerve stimulation and perianal injections of a bulking agent for people with fecal incontinence. Other studies that will begin or are already recruiting for fecal incontinence treatment include a trial of a soft, flexible, liquid-filled device that's inserted into the anal canal, and a placebo-controlled trial of the drugs colesevelam (Welchol) and clonidine (Catapres, Kapvay, others).
Expertise and rankings
- Mayo Clinic specialists treat nearly 2,300 people each year for fecal incontinence.
- Mayo Clinic researchers have helped develop state-of-the-art imaging to assess the anatomy and function of the anus and rectum.
Mayo Clinic in Rochester, Minn., ranks No. 1 for digestive disorders in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Scottsdale, Ariz., and Mayo Clinic in Jacksonville, Fla., are ranked among the Best Hospitals for digestive disorders by U.S. News & World Report.
Locations, travel and lodging
Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.
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Costs and insurance
Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.
In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.
Learn more about appointments at Mayo Clinic.
Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.
Oct. 12, 2018